重度脑外伤后动态监测局部脑氧饱和度的临床意义

doi:10.3969/j.issn.1006-9771.2020.01.019

Abstract

Abstract:

Objective To investigate the value of clinical monitoring of regional cerebral oxygen saturation (SctO₂) for severe traumatic brain injury (sTBI).
Methods From December, 2017 to January, 2019, 33 patients with sTBI within 24 hours were monitored SctO₂, intracranial pressure (ICP) and cerebral perfusion pressure (CPP) with near-infrared spectroscopyonce per six hours for seven days. They were assessed with Glasgow Coma Score (GCS) at admission and Glasgow Outcome Score (GOS) six months after injury.
Results SctO₂ was the lowest on the third day of monitoring, and then increased gradually. SctO₂ negatevely correlated with ICP (r < -0.857, P < 0.001), and positively correlated with GCS, CPP and GOS ( r > 0.697, P < 0.05).
Conclusion SctO₂ monitoring is valuable after sTBI to identify the secondary injuries and severity of injuries, and predict the outcome partly.

Key words: traumatic brain injury, near-infrared spectroscopy, regional cerebral oxygen saturation, intracranial pressure, cerebral perfusion pressure, coma

CLC Number:

R651.1

LU Wei-xin,HOU Bo-ru,WANG Deng-feng,WANG Gang,BAI Ruo-bing,YAN Gui-zhong,WANG Dong,LI Rui-hao,XUE Xin,REN Hai-jun. Application of Dynamic Monitoring of Regional Cerebral Oxygen Saturation for Severe Traumatic Brain Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(1): 106-109.

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References 34

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项目	统计值
性别(男/女, n)	22/11
年龄(岁)	39.48±11.93
受伤类型(n)
硬膜外血肿	5
硬膜下血肿	9
脑挫伤	13
弥漫性轴索损伤	6
伤后到入院时间(h)	11.12±3.92
手术/非手术(n)	24/9
入院时GCS	6.12±1.76
伤后6个月GOS	3.06±1.32

侧别	n	第1天	第2天	第3天	第4天	第5天	第6天	第7天
主要损伤侧	33	60.70±4.10	60.39±3.82	59.45±3.95	59.79±4.97	60.15±5.09	60.70±4.48	61.97±4.94
损伤对侧	33	66.58±4.72	64.76±5.03	63.91±5.28	65.00±5.65	65.67±6.19	65.76±5.95	67.15±6.72
t值		-14.76	-9.79	-7.42	-8.67	-7.93	-6.74	-8.99
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

Application of Dynamic Monitoring of Regional Cerebral Oxygen Saturation for Severe Traumatic Brain Injury

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